Medical Coding Quality Analyst in Royapettah, India - Jobeax
Vacancy description
Medical Coding Quality Analyst in Royapettah, भारत
Acurus Solutions Private Limited
Royapettah, भारत
Job Title
Quality Control Analyst (QCA) – Medical Coding
Experience
4–5 years in Medical Coding (with auditing/QC exposure preferred)
Job Summary
The Quality Control Analyst (QCA) is responsible for auditing and ensuring the accuracy and compliance of medical coding across Evaluation & Management (E&M), Outpatient (OP), Inpatient (IP), and Surgery coding. The role involves reviewing coded charts, identifying errors, providing feedback, and driving quality improvements in alignment with coding standards and client requirements.
Key Responsibilities
Perform quality audits on coding for E&M, OP, IP, and Surgical cases
Validate accurate assignment of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes
Ensure compliance with AAPC/AHIMA guidelines, payer policies, and client SOPs
Identify coding errors, gaps, and documentation deficiencies
Provide detailed feedback and coaching to coders to improve quality
Track and report quality metrics, error trends, and audit findings
Conduct calibration calls with internal teams and refresher sessions for existing coder
Support denial analysis and prevention strategies
Ensure adherence to TAT, productivity, and accuracy benchmarks
Required Skills & Competencies
Strong expertise in E&M coding
Outpatient and Inpatient coding
Surgical coding (CPT & ICD-10-PCS)
In-depth knowledge of ICD-10-CM, CPT, HCPCS
Knowledge of NCCI edits and modifier usage
Excellent auditing and analytical skills
Strong communication and feedback delivery skills
Proficiency in Excel and reporting tools
Qualifications
Graduate in Life Sciences / Medical / Paramedical field
Summary As an Medical Coder Quality you will be assigning ICD and CPT codes based on the medical records provided following ICD and federal/Payor guidelines and client requirements for Evaluation and Management services/Emergency Department services What you'll do - Perform activity involving the coding of medical records ...
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